Martha Lee Aitkens

Individual provider Active NPI Chiropractor · Bonner Springs, KS

NPI 1609968262 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1609968262
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
4268 (KS)
Practice address
13047 Kansas Ave
Bonner Springs, KS 66012-9206
Phone
(913) 441-4050
Fax
(913) 441-9300
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

Medicare Care Compare profile

Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 W St
Tonganoxie, KS 66086-8927
Phone (913) 441-4050

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20090520000305 KS Practitioner - Chiropractic 1658420757 Practice locations: Tonganoxie, KS

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
727HIMDChiropractor
4268KSMDChiropractor
6397MOMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4268 KS Yes
Chiropractor 111N00000X 727 HI
Chiropractor 111N00000X 6397 MO
Chiropractor 111N00000X 3316 OK

Addresses

Primary practice location

13047 Kansas Ave
Bonner Springs, KS 66012-9206

Mailing address

13047 Kansas Ave
Bonner Springs, KS 66012-9206
Phone (913) 441-4050

Other identifiers

IdentifierTypeStateIssuer
BC/BSOtherKS22143021
PHPOtherKS22143011

Other providers in Bonner Springs, KS

All providers in Bonner Springs, KS · Chiropractor in Kansas

Sources for this page

Verify at the official NPI Registry.